LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP – NPI #1538323993
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP is a provider located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1538323993 to LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP on July 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP” is a dba name, the actual legal business name for this organization is LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Sep 04, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP below.

NPI Profile for
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.

NPI Number
1538323993
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC.
Doing Business As (dba): LAKESIDE COMMUNITY HEALTHCARE MEDICAL GROUP
Primary location
612 E JANSS RD
THOUSAND OAKS, CA 91360-5113
Phone: (805) 373-0725 Fax: (805) 373-0574
Mailing address
777 FLOWER STREET
SUITE A
GLENDALE, CA 91201-3000
Phone: (818) 637-2000 Fax: (818) 242-8761
Organization Subpart
No
Authorized Official
KERRY WEINER
PRESIDENT
Phone: (818) 637-2000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363L00000X
- Nurse Practitioner
208000000X
- Pediatrics
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.